Organization
ENC PEDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN LUKE BRYAN MD (CEO)
(252) 484-9024
Entity
Organization
Contact information
Practice address
222B VIRGINIA RD, EDENTON, NC 27932-9667
(252) 484-9024
(252) 404-8424
Mailing address
222B VIRGINIA RD, EDENTON, NC 27932-9667
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
05/09/2023
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